
Medical Officer
6 days ago
We are seeking a highly skilled Medical Claims Officer to join our team at Nextcare. As a Medical Claims Officer, you will be responsible for adjudicating medical claims and authorizing decisions within the stipulated turnaround time. Your role will involve performing complete file reviews, requesting medical documentation, and reviewing DRG Severity of Illness (SOI) in line with revision of CPT codes / ICD codes.
Key Responsibilities:
- Adjudicate medical claims and authorize decisions within the stipulated turnaround time.
- Perform complete file reviews regarding multidisciplinary notes, TPR charts, physician orders, lab reports, radiology reports, drug chart sheets, consultation notes, nursing notes, progress notes, etc.
- Request medical documentation or find missing documents essential for decision-making.
- Review DRG Severity of Illness (SOI) in line with revision of CPT codes / ICD codes.
- Perform utilization review for DRG cases and FFS cases, including final bill review, consumables mark-ups, non-covered items/services, and overutilization of services.
- Review claims according to CPT and ICD coding guidelines, adhering to insurance regulators' standards.
- Adhere to cost containment protocols for medical management cases.
- Refer cases for second opinions when necessary to confirm best management modes and negotiate factors.
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Medicine Medical Officer
6 days ago
Muscat, Muscat, Oman The Medical City for Military & Security Services Full timeMedical Officer In MedicineThe Medical City for Military and Security ServicesMuscat, Sultanate of OmanThe Medical City for Military and Security Services (MCMSS) in Muscat Oman is a Tertiary/Quaternary Care level city providing services to patients of different age groups in different specialties.MCMSS is seeking to appoint Medical Officer In Medicine, who...
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Medical Officer in Medicine Position
6 days ago
Muscat, Muscat, Oman The Medical City for Military & Security Services Full timeThe Medical City for Military and Security Services (MCMSS) is seeking a highly skilled and dedicated Medical Officer In Medicine to join our team.MCMSS is a leading provider of tertiary/quaternary care services to patients of different age groups in various specialties.We are looking for a well-trained and motivated individual who can develop their...
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Medicine Medical Officer
5 days ago
Muscat, Muscat, Oman MOD Full timeDirect message the job poster from The Medical City for Military & Security ServicesRecruiter - The Medical City for Military & Security ServicesMedical Officer In MedicineThe Medical City for Military and Security ServicesMuscat, Sultanate of OmanThe Medical City for Military and Security Services (MCMSS) in Muscat Oman is a Tertiary/Quaternary Care level...
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Recruiting Medical Officer
4 days ago
Muscat, Muscat, Oman MOD Full timeThe Medical City for Military and Security Services (MCMSS) is a dynamic and progressive healthcare organization that provides tertiary and quaternary care services to patients of different age groups.Job SummaryWe are seeking a Medical Officer In Medicine to join our team, who is a well-trained and highly motivated individual to develop their professional...
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Medical Officer in Muscat
4 days ago
Muscat, Muscat, Oman MOD Full timeThe Medical City for Military and Security Services (MCMSS) is a leading healthcare provider in Oman, offering tertiary and quaternary care services to patients of different age groups.Job DescriptionMCMSS seeks a highly motivated and well-trained Medical Officer In Medicine to develop their professional career within the organization.Responsibilities...
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Medical Claims Officer
6 days ago
Muscat, Muscat, Oman Nextcare Full timeKey responsibilities/What you do:Precertification team is functional on 24/7 basis. Therefore, the Medical Officer will be working on flexible shift basis as per the schedule provided by the Team Leader.Adjudicates Cases, authorizes decision within the stipulated turnaround time & with the highest quality standards in view with the policy terms and...
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Medical Tourism Industry Expert
1 week ago
Muscat, Muscat, Oman Doctorstour Full timeWelcome to DoctorsTour, a renowned international medical value travel company based in Kerala, India. With over five years of experience in the medical tourism industry, we have built a reputation for excellence.The General Manager position at our Muscat office requires a highly skilled professional who can lead daily operations, develop strategic plans, and...
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Director of International Medical Services
1 week ago
Muscat, Muscat, Oman Doctorstour Full timeAt DoctorsTour, we pride ourselves on being a leading international medical value travel company based in Kerala, India. With a proven track record of success in the medical tourism industry, we continue to innovate and improve our services.The General Manager position at our Muscat office requires a highly skilled professional who can lead daily operations,...
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Purchasing Officer
2 weeks ago
Muscat, Muscat, Oman alfarsi Full timeAlfarsi.me, a renowned importer and distributor of medical and dental equipment, is seeking a highly skilled Purchasing Officer to manage its procurement and logistics operations.About the Role:We are looking for an experienced professional with expertise in sourcing quality products, negotiating with suppliers, and ensuring timely deliveries. The ideal...
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Healthcare Claims Officer
6 days ago
Muscat, Muscat, Oman GIG Gulf Full timeGIG Gulf is committed to delivering exceptional customer service and maintaining high-quality claims processing.We require an experienced DB Claims Executive to join our Direct Billing Claims Department, responsible for ensuring timely and accurate communication with providers and other departments.The ideal candidate will possess excellent communication...
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Administration Officer
2 weeks ago
Muscat, Muscat, Oman MAN Energy Solutions Full timeWhat You Should Know About UsMAN Energy Solutions enables its customers to achieve sustainable value creation in the transition towards a carbon neutral future. Addressing tomorrow's challenges within the marine, energy, and industrial sectors, we improve efficiency and performance at a systematic level. Leading the way in advanced engineering for more than...
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Healthcare Career Opportunities
4 days ago
Muscat, Muscat, Oman MOD Full timeMuscat, Sultanate of Oman - The Medical City for Military and Security Services (MCMSS) is a world-class healthcare provider that offers tertiary and quaternary care services to patients of different age groups.About the PositionWe are seeking a highly motivated and well-trained Medical Officer In Medicine to join our team, who is passionate about delivering...
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Clinical Reviewer
6 days ago
Muscat, Muscat, Oman Nextcare Full timeJob RequirementsTo be successful in this role, you must possess excellent analytical and problem-solving skills, with the ability to work independently and as part of a team. A bachelor's degree in Medicine (MBBS) with 1 year of clinical practice or a Bachelor of Nursing is required. Additionally, 1-2 years of medical experience in a reputable insurance...
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Senior Healthcare Administrator
1 week ago
Muscat, Muscat, Oman Doctorstour Full timeDoctorsTour is a premier international medical value travel company based in Kerala, India. Founded in 2018, we have established ourselves as a leader in the medical tourism industry.As a General Manager at our Muscat office, you will be responsible for overseeing daily operations, developing strategic plans, and ensuring client satisfaction. Key tasks...
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Medicine Professional Wanted
4 days ago
Muscat, Muscat, Oman MOD Full timeAt The Medical City for Military and Security Services (MCMSS), we are committed to providing high-quality healthcare services to our patients.About the RoleWe are seeking a Medical Officer In Medicine to join our team, who is a well-trained and highly motivated individual to develop their professional career within the organization.The successful candidate...
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Telephone Service Specialist
5 days ago
Muscat, Muscat, Oman Nextcare Full timeCustomer Service RoleThis role involves responding to telephone inquiries about our products or services, following standard scripts and procedures, and ensuring all calls are answered within predetermined time scales. The successful candidate will deliver high-quality customer service, resolving issues and addressing concerns in a timely and professional...
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Hospital Operations Manager
1 week ago
Muscat, Muscat, Oman Doctorstour Full timeEstablished in 2018 in Kerala, India, DoctorsTour is a pioneering international medical value travel company. We specialize in delivering exceptional healthcare services to patients from around the world.The role of General Manager at our Muscat office will oversee daily operations, develop strategic plans, and ensure client satisfaction. Key...
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IM Technical Expert
4 days ago
Muscat, Muscat, Oman 坯潤 Full timeWe're Wood, a global consulting and engineering company, and we're seeking a highly skilled professional to join our team as an IM Technical Expert.In this role, you'll be responsible for developing and implementing information management (IM) strategies to ensure efficient knowledge sharing and collaboration among team members.Your primary duties will...
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Ooredoo Postpaid Simcard Backoffice Sales
3 weeks ago
Muscat, Muscat, Oman ENGAGE OMAN Full timeOoredoo Postpaid Simcard Backoffice Sales - Omanis OnlySalary: 225 Rials OmaniTimings: Sunday to Thursday - 9:00am to 3:00pm or 12:00pm to 6:00pmWalk In Interview: Wednesday; 26 MarchLocation: Al Noor Building, Behind Biruni Medical Centre, First Floor, Office 16Role Description:This is a full-time on-site role in Muscat for an Ooredoo Postpaid Simcard...
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Marine Construction Manager
3 days ago
Muscat, Muscat, Oman WSP Global Inc. Full timeAbout the JobThe Assistant Resident Engineer (ARE) will be responsible for providing critical support to the Resident Engineer in overseeing daily construction activities on-site for the Sohar Port Project.The successful candidate will possess excellent technical and analytical skills, with a strong focus on quality and safety.The job requires minimum 10...